Colonic Stent and Tumor Cell Dissemination

NCT ID: NCT01628328

Last Updated: 2012-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-07-31

Study Completion Date

2012-01-31

Brief Summary

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This study aims to examine the hypothesis of tumor cell dissemination after colonic stenting for obstructing colorectal cancer by measuring the level of plasma circulating tumor cell before and after the procedure of successful colonic stenting in patients.

Detailed Description

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1. Patient recruitment:

Patients will be recruited from the Division of Colorectal Surgery, Department of Surgery, the University of Hong Kong, over a 12 - 18 months period. Our institution is a tertiary referral center for colorectal cancer patients in Hong Kong. Informed consent will be obtained from the patients after the inclusion criteria are met.

The study plans to recruit 25 patients in the colonic stenting group to compare with 15 patients in the control group.

Inclusion criteria:

Colonic stenting group
1. Patients with obstructive colorectal cancer that requires colonic stenting as treatment
2. Age \> 18 years and is able to give informed consent
3. Informed consent for blood collection obtained

Control group
1. Patients with colorectal cancer who have colonoscopy without stenting
2. Age \> 18 years and is able to give informed consent
3. Informed consent for blood collection obtained
2. Blood collection and examination for circulating tumor cell

About 10ml of EDTA blood will be collected for examination before the procedure (colonoscopic stenting or colonoscopy in the control group) and blood collection daily will be repeated for 3 days after procedure. Blood will be sent to the laboratory for processing within 2 hours of withdrawal. Circulating tumour cells, which are characterized by CD45- (to exclude hematopoietic cells), CD326+ (to mark epithelial cells), CK18+ and CK19+ (to mark intestinal cells), i.e. cells expressing CD45-CD326+CK18/19+, will be detected by fluorescence activated cell sorting (FACS).

For each ml of blood, 1 ml of FCM Lysing solution will be added and allowed to incubate for 5 minutes to lyse the red blood cells, followed by centrifugation at 1000 RPM for 5 minutes. Supernatant will then be aspirated, and the pellet resuspend in approximately 1 ml cold 1X PBS. 10 µl of the appropriate antibody will be added into the tubes, vortexed and incubated for 15 in dark and room temperature. After incubation, cells will be washed with PBS and then incubated with the second antibody. The process is repeated until all 4 antibodies have been labelled to the cells. Cells will then be analysed on a FACS machine (MoFlo, Beckman Coulter).

Conditions

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Colorectal Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Stenting

patient who received colonic stenting for obstructive colorectal cancer

No interventions assigned to this group

Control

patients who had only colonoscopy without obstruction and without stenting

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Colonic stenting group

1. Patients with obstructive colorectal cancer that requires colonic stenting as treatment
2. Age \> 18 years and is able to give informed consent
3. Informed consent for blood collection obtained

Control group

1. Patients with colorectal cancer who have colonoscopy without stenting
2. Age \> 18 years and is able to give informed consent
3. Informed consent for blood collection obtained

Exclusion Criteria

* Patients who refuse or who is unable to give informed consent on blood taking for the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jensen TC Poon, MS

Role: PRINCIPAL_INVESTIGATOR

Department of Surgery, University of Hong Kong

Other Identifiers

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colonstent

Identifier Type: -

Identifier Source: org_study_id

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